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NEWTON CLINIC PC
NPI 1730115213
Family Medicine in Newton, IA

Active since June 24, 2006CLIA 16D0383015 · Certificate of Compliance
300 N 4TH AVE E, SUITE 200, NEWTON, IA 50208(641) 792-2112(641) 792-8484 Get Directions Write a Review

NPPES record last updated: June 13, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Newton Clinic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEWTON CLINIC PC (NPI 1730115213) is a healthcare organization registered as a family medicine in Newton, Iowa and active in the NPI registry since June 2006. The organization holds a CLIA Certificate of Compliance certificate valid through December 18, 2026 and lists Mark Thayer, Clinic Adminstrator, as its authorized official.

NPPES Registry Identity

NPI1730115213
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNEWTON CLINIC PC
Location Address300 N 4TH AVE E, SUITE 200Newton, IA 50208-3155
Mailing Address300 N 4th Ave E, Suite 200Newton, IA 50208-3155 · (641) 792-2112 · Fax (641) 792-8484
Phone(641) 792-2112
Fax(641) 792-8484
Organization SubpartNo
Authorized OfficialMark ThayerClinic Adminstrator · (641) 792-2112
Enumeration DateJune 24, 2006
Last NPPES UpdateJune 13, 2013
✔ NPI 1730115213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPodiatristTaxonomy 213E00000X
300 N 4TH AVE E, Newton, IA 50208
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Other Identifiers 3

Medicare NSC0815850001IA
Medicaid0282186IA
Medicare PIN71982IA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Newton Clinic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

24

Medicare enrollment records show 24 clinicians reassign Medicare billing to Newton Clinic PC, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 16 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Family Practice14
Nurse Practitioner6
Emergency Medicine1
Internal Medicine1
Obstetrics/Gynecology1
Podiatry1

Nearest to this location (20)

See all 24
Andrew Cope, DO
Family Practice
NPI 1912134693
300 N 4TH AVE E STE 200
Newton, IA 50208
(641) 792-2112
✔ PECOS✔ Accepts MedicareSame address
Steven Hill, MD
Family Practice
NPI 1316976764
300 N 4TH AVE E SUITE 200
Newton, IA 50208
(641) 792-2112
✔ PECOS✔ Accepts MedicareSame address
Duane Jolivette, MD
Family Practice
NPI 1134189764
300 N 4TH AVE E STE 200
Newton, IA 50208
(641) 792-2112
✔ PECOS✔ Accepts MedicareSame address
Kelsey Tish
Nurse Practitioner
NPI 1467931535
300 N 4TH AVE E STE 200
Newton, IA 50208
(641) 792-2112
✔ PECOS✔ Accepts MedicareSame address
Tara Gravenstine, DO
Family Practice
NPI 1043698939
300 N 4TH AVE E STE 200
Newton, IA 50208
(641) 792-2112
✔ PECOS✔ Accepts MedicareSame address
Zacheriah Alexander, MD
Family Practice
NPI 1679525521
300 N 4TH AVE E STE 200
Newton, IA 50208
(641) 792-2112
✔ PECOS✔ Accepts MedicareSame address
Orville Bunker, MD
Family Practice
NPI 1902838527
300 N 4TH AVE E SUITE 200
Newton, IA 50208
(641) 792-2112
✔ PECOS✔ Accepts MedicareSame address
Tze Chan, DO
Internal Medicine
NPI 1376579706
300 N 4TH AVE E SUITE 200
Newton, IA 50208
(641) 792-2112
✔ PECOS✔ Accepts MedicareSame address
Patrick Edwards, MD
Family Practice
NPI 1740214873
300 N 4TH AVE E SUITE 200
Newton, IA 50208
(641) 792-2112
✔ PECOS✔ Accepts MedicareSame address
Min Pak, MD
Family Practice
NPI 1962438317
300 N 4TH AVE E SUITE 200
Newton, IA 50208
(641) 792-2112
✔ PECOS✔ Accepts MedicareSame address
Paul Ruggle, MD
Family Practice
NPI 1437187077
300 N 4TH AVE E SUITE 200
Newton, IA 50208
(641) 792-2112
✔ PECOS✔ Accepts MedicareSame address
Laurie Siddall, FNP
Nurse Practitioner
NPI 1003842592
300 N 4TH AVE E SUITE 200
Newton, IA 50208
(641) 792-2112
✔ PECOS✔ Accepts Medicare0.3 mi
Mureema Solberg, MD
Family Practice
NPI 1609812064
300 N 4TH AVE E SUITE 200
Newton, IA 50208
(641) 792-2112
✔ PECOS✔ Accepts Medicare0.3 mi
Jodi Holloway, ARNP
Nurse Practitioner
NPI 1013163427
315 W 3RD ST N
Newton, IA 50208
(641) 791-0790
✔ PECOS✔ Accepts Medicare0.5 mi
Sarah Neal, ARNP
Nurse Practitioner
NPI 1124580329
300 N 4TH AVE E STE 200
Newton, IA 50208
(641) 792-2112
✔ PECOS✔ Accepts Medicare0.5 mi
Elizabeth Preston, ARNP
Nurse Practitioner
NPI 1790721686
FRONTLINE DERMATOLOGY 204 N AVE, SUITE 1408
Newton, IA 50208
(515) 666-5417
✔ PECOS2.2 mi
Patrick Cogley, MD
Emergency Medicine
NPI 1417941717
210 4TH AVE
Grinnell, IA 50112
(641) 236-2500
✔ PECOS✔ Accepts Medicare17 mi
Luke Perrin, M.D.
Family Practice
NPI 1407834740
210 4TH AVE
Grinnell, IA 50112
(641) 236-2378
✔ PECOS✔ Accepts Medicare17 mi
Kenzie Huyser, FNP-C
Nurse Practitioner
NPI 1699407924
217 4TH AVE W
Grinnell, IA 50112
(641) 236-7524
✔ PECOS✔ Accepts Medicare17 mi
Dennis Dornbier, D.O.
Obstetrics/Gynecology
NPI 1306944525
330 LAUREL ST STE 1100
Des Moines, IA 50314
(515) 288-3287
✔ PECOS✔ Accepts Medicare30 mi
See all 24 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 16D0383015

Newton Clinic PC · Newton, IA
Active · expires Dec 18, 2026
CLIA Number16D0383015
Laboratory TypePhysician Office
Certificate Effective DateDecember 19, 2024
Certificate Expiration DateDecember 18, 2026
Laboratory DirectorDr. Ty Chan
Laboratory Phone(641) 792-2112
Laboratory LocationNewton Clinic PC300 N Fourth Avenue E Ste 200, Newton, IA 50208
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Newton Clinic PC's NPI number?

The NPI number for Newton Clinic PC is 1730115213. It was assigned to this organization in the NPPES registry on June 24, 2006.

Where is Newton Clinic PC located?

Newton Clinic PC is located at 300 N 4th Ave E Suite 200, Newton, IA 50208. The listed phone number is (641) 792-2112.

What is Newton Clinic PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Newton Clinic PC enrolled in Medicare?

Yes. Newton Clinic PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Newton Clinic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 6 Medicare specialties reassign their Medicare billing to Newton Clinic PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (14), Nurse Practitioner (6) and Emergency Medicine (1). Of these, 11 practice at this address and 16 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Newton Clinic PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 16D0383015) is associated with this NPI, valid through December 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Newton Clinic PC was last updated on June 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.